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Organization
ACTIVE HEARING HEALTH
Active
Organization
ACTIVE HEARING HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE R KOPETZKY AU.D. (OWNER)
(402) 318-7863
Entity
Organization
Contact information
Practice address
18010 R PLZ STE 107, OMAHA, NE 68135-1923
(402) 318-7863
(402) 318-7885
Mailing address
18010 R PLZ STE 107, OMAHA, NE 68135-1923
(402) 318-7863
(402) 318-7885
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
08/06/2020
Last updated
08/19/2020
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